Digital Commons Network^™

A Pragmatic, Open-Label, Randomized Controlled Trial Of Ringer’S Lactate Solution Versus Normal Saline Plus 5% Dextros Solution On Metabolic Acidosis In The First Week Of Post-Operative Period Of Kidney Transplantation, Kornrawee Sawasdichai

Chulalongkorn University Theses and Dissertations (Chula ETD)

Backgroud: Post-operative fluid management in kidney transplantation (KT) has shifted from Normal Saline Solution (NSS) to balanced crystalloid solutions due to NSS associated with hyperchloremic metabolic acidosis and higher rates of delayed graft function(DGF). This study aimed to compare the efficacy of NSS+D5W versus Ringer’s Lactate Solution (RLS) in preventing metabolic acidosis in KT recipients during the first post-operative week.Methods: An open-label, randomized controlled trial conducted at King Chulalongkorn Memorial Hospital, included adult KT recipients from both living and deceased donors. Patients were randomized to receive either NSS+D5W or RLS as the post-operative IV fluid. Exclusion criteria were multiorgan transplantation …

Effect Of Vancomycin Loading Dose On Auc0-24 Target Attainment In Pediatric Sepsis Patients, Kritsaporn Sujjavorakul

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: Sepsis is a leading cause of mortality in hospitalized children, with a significant proportion of deaths occurring within the first 24-48 hours post-diagnosis. Early management, including appropriate antibiotic administration, is crucial. Vancomycin, often used for multidrug-resistant pathogens, presents dosing challenges due to altered pharmacokinetics in sepsis.Objectives: This study aims to evaluate the accuracy of first-order pharmacokinetic equations for calculating the area under the concentration-time curve (AUC) of vancomycin in pediatric sepsis patients and to assess the efficacy of a loading dose strategy in achieving target AUC0-24.Methods: The study was conducted in two sections:1. Evaluation of First-Order Pharmacokinetics Analytic Equations: …

Exploring The Skin Microbiome Of Alopecic Cynomolgus Macaques (Macaca Fascicularis) Based On Oxford Nanopore Technologies, Natthanit Phokkhasub

Chulalongkorn University Theses and Dissertations (Chula ETD)

Alopecia or hair loss in captive non-human primates (NHPs) such as cynomolgus macaques is a major concern of animal welfare in many primate facilities. The purpose of this study is to investigate the association between alopecic and healthy skin microbiome in cynomolgus macaques. This study included skin swab samples (head, arm, leg, ventral, and dorsal areas) collected from 33 healthy and 50 alopecic macaques housed at the NPRCT-CU. LEfSe analysis revealed the significant bacteria found in multiple areas of the alopecic group, including P. copri and L. animalis. The significant fungi found in double areas (arm-dorsal, dorsal-head, and leg-ventral) of …

Combining Ultrasound Of Inferior Vena Cava And Laboratory Markers To Enhance Diagnosis Of Euvolemic Hyponatremia In Siad, Natthasit Suphavejkornkij

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: The diagnosis of Syndrome of Inappropriate Antidiuresis (SIAD) relies heavily on clinical assessment of euvolemia and laboratory parameters, which are often influenced by various confounding factors. Accurate volume status assessment remains a challenge.Objective: To evaluate the diagnostic performance of combining Inferior Vena Cava Collapsibility Index (IVC CI) and Body Composition Monitoring (BCM) in detecting euvolemic status to enhance SIAD diagnosis.Methods: We conducted a prospective cross-sectional study on 32 patients with hyponatremia (serum sodium 115–134 mmol/L) at King Chulalongkorn Memorial Hospital from January to February 2025. All patients underwent physical examination, laboratory testing, IVC ultrasonography, and BCM. The final SIAD …

Thai Version Of The Brief Assessment Of Social Skills-Dementia (Bass-D Th): A Validation And Functional Near-Infrared Spectroscopy Study, Pornsinee Laisathit

Chulalongkorn University Theses and Dissertations (Chula ETD)

The Brief Assessment of Social Skills – Dementia (BASS-D) was developed to provide a concise and effective measure of social cognition across four domains. This study aimed to validate the Thai version of BASS-D (BASS-D TH), examining its psychometric properties and factors associated with BASS-D TH, as well as anatomical correlates using functional Near-Infrared Spectroscopy (fNIRS). BASS-D was forward and back -translated between Thai and English language. Minor modifications were made to enhance cultural replicability. The BASS-D TH was administered to 28 elderly controls and 13 dementia patients. Age and number of years in formal education were statistically different (t=-3.67, …

Epigenetic Regulation Of Cancer Testis Antigens In Hepatocellular Carcinoma, Rinrada Klankajorn

Chulalongkorn University Theses and Dissertations (Chula ETD)

Hepatocellular carcinoma (HCC) represents one of the most common causes of cancer-related death worldwide, with few available treatment options. Cancer-testis antigens (CTAs), notably from the MAGE gene family, have opened new possibilities for improving immunotherapy in HCC due to their tumor-specific expression and high immunogenicity. However, the mechanisms regulating MAGE gene expression are largely unknown. This study explored mechanisms controlling the expression of MAGE-A3 and MAGE-C2. We utilized HCC organoid cultures derived from patient HCC tissues known to represent cancer epigenetic status more accurately than cell lines to study the MAGE gene family expression patterns and promoter methylation patterns. Our …

Incidence, Risk Factors, And Outcome Of Anti-Tuberculosis Drug-Induced Hepatotoxicity In People With And Without Hiv In Thailand And The Philippines, Ryan Christopher Atuel

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: Anti-tuberculosis drug-induced hepatotoxicity (DIH) is a common complication among people living with HIV (PLWH), potentially leading to treatment interruptions. Objective: To determine the incidence of DIH and identify risk factors in Thai and Filipino PLWH on tuberculosis (TB) treatment, compared with those with TB mono-infection. Materials and Methods: We conducted a cohort study of Thai and Filipino adults with active TB using retrospective data from Thailand (2000–2024) and prospective data from the Philippines (2024). Eligible participants had AST/ALT results at TB treatment initiation and follow-up. DIH was defined as AST or ALT ≥3 times the upper limit of normal. …

Evaluating The Severity Of Disc Herniation : A Comparative Analysis Of Standing Spine Radiographs And Mri Findings, Suttinont Surapuchong

Chulalongkorn University Theses and Dissertations (Chula ETD)

Objective: The degree of spinal canal compromise in lumbar disc herniation (LDH) significantly influences treatment outcomes. Although magnetic resonance imaging (MRI) remains the gold standard for assessing LDH severity, limited access in primary and secondary care settings can delay diagnosis and referral. This study aimed to determine whether radiological parameters observed on standing spine radiographs can predict the severity of LDH and support timely referral for advanced care. Methods: In this retrospective cross-sectional study, patients diagnosed with LDH who underwent both standing whole-spine radiographs and lumbar MRI between June 2014 and January 2024 were included. Radiographic parameters evaluated included disc …

Comparative Electron Microscopy Analysis Of Internal Limiting Membrane And Epiretinal Membrane Ultrastructure From Pars Plana Vitrectomy, Thananop Pothikamjorn

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: Histopathological difference and biomarkers related between the internal limiting membrane (ILM) in eyes with and without epiretinal membrane (ERM) remains unknown. This study characterizes the ultrastructural and histopathological features of the internal limiting membrane (ILM) in eyes with and without epiretinal membrane (ERM) undergoing vitrectomy.Methods: ILM specimens were intraoperatively collected and analyzed using light microscopy (LM) to assess nuclei counts, and transmission electron microscopy (TEM) to evaluate vacuolization, specimen consistency, cell types and other ultrastructural features. One eye per participant was included. Histopathological features were compared between ILM with and without ERM, as well as between idiopathic and secondary …

Demographic Profile And Clinical Characteristics Of Fuchs Endothelial Corneal Dystrophy In Thai Patients: A Retrospective Cohort In A Tertiary Referral Center, Trakanta Wannapanich

Chulalongkorn University Theses and Dissertations (Chula ETD)

Objective: This study aimed to describe the demographic profiles, clinical characteristics, and the 5-year clinical course of Fuchs endothelial corneal dystrophy (FECD) in Thai patients. Secondary objectives included identifying the risk factors associated with corneal transplantation and evaluating surgical trends, particularly the types of corneal transplantation performed. Methods: This retrospective cohort study analyzed clinical data from 900 Thai patients (1,743 eyes) diagnosed with FECD. Demographic information, clinical characteristics, and follow-up data over five years were collected. Statistical methods, including logistic regression, were used to identify factors predicting corneal transplantation. Results: The mean age of the cohort was 63.84 ± 11.89 …

Acute Toxicity Study Of Canine Mesenchymal Stem Cell (Msc)-Derived Exosome Preparation For Drug Registration, Anatcha Thongsit

Chulalongkorn University Theses and Dissertations (Chula ETD)

Exosomes, spherical vesicles secreted by cells containing diverse biomolecules, are gaining attention in veterinary medicine. Mesenchymal stem cell (MSC)-derived exosomes show promise for treating animal diseases. However, their safety profile, particularly the acute toxicity of canine MSC-derived exosomes, has yet to be adequately explored. This study evaluates the acute toxicity of canine MSC-derived exosomes on rat systemic health, adhering to ISO 10993-11 guidelines for systemic toxicity testing to support veterinary drug registration and development. The study tested acute toxicity in five female Sprague Dawley rats by administering exosomes at a concentration of 1×109 particles/mL via intravenous injection into the tail …

Expression Optimization And Characterization Of Plant-Produced Human Interleukin-15, Chalatorn Charnsatabut

Chulalongkorn University Theses and Dissertations (Chula ETD)

Human interleukin-15 (hIL-15) is a cytokine that plays a crucial role in immune responses like T cell proliferation, activation, and prolongation of natural killer (NK) cells. This cytokine also impacts the cell proliferation of human adult low calcium temperature (HaCaT) keratinocytes which can lead to the wound-healing effect. This study aimed to optimize the expression and characterize the recombinant hIL-15 in Nicotiana benthamiana with the Agrobacterium-mediated transient expression system. The hIL-15 gene was fused with the Fc domain from the IgG1 antibody for purification. The expression cassette was optimized for sub-cellular targeting and agroinfiltration. The transiently expressed hIL-15-Fc was purified …

Predicting The Eq-5d-5l Utility Scores From The Impact Of Vision Impairment (Ivi) Questionnaire In Thai Patients, Emilia Audrey Tunmas Pasenggong

Chulalongkorn University Theses and Dissertations (Chula ETD)

Objectives : (1) This study aims to predict the EQ-5D-5L utility scores from the impact of vision impairment (IVI) questionnaire in Thai patients using mapping techniques. (2) To investigate the association between sociodemographic and clinical variables with the EQ-5D-5L index scores. Methods : This is a secondary data analysis. A total of 499 patients with multiple levels of visual impairment were recruited from King Chulalongkorn Memorial Hospital Thailand between February and July 2022. Ordinary least square (OLS), Tobit, Censored least absolute deviation (CLAD), and Adjusted limited dependent variable mixture model (ALDVMM) regression models were used to map the IVI questionnaire …

Molecular Mechanism Of Lusianthridin On Platelet Aggregation Inhibition And Endothelial Cell Protection, Fozia -

Chulalongkorn University Theses and Dissertations (Chula ETD)

Lusianthridin (LST), a bioactive compound isolated from Dendrobium venustum, exhibits notable vasoprotective properties. This study aimed to elucidate the underlying molecular mechanisms of LST by evaluating its effects on platelet function and endothelial cell activation in vitro. In human platelets, LST significantly inhibited collagen-induced aggregation, an effect associated with elevated phosphorylation of vasodilator-stimulated phosphoprotein (VASP) and suppression of Akt phosphorylation. In EA.hy926 endothelial cells, LST attenuated tumor necrosis factor-alpha (TNF-α)-induced endothelial dysfunction by reducing nitric oxide (NO) production and suppressing the expression of pro-inflammatory cytokines, including interleukin-6 (IL-6) and interleukin-1β (IL-1β). Mechanistic investigations revealed that LST inhibited key inflammatory signaling …

Development Of Granule Product Containing Curcuminoid Extract And Hyaluronic Acid Derivative For Oral Administration, Natkhanang Boonpetcharat

Chulalongkorn University Theses and Dissertations (Chula ETD)

Curcumin is widely recognized for its various pharmacological properties, including antioxidant, anti-inflammatory, and anti-tumor activities. Nevertheless, the development of curcumin as a therapeutic agent is impeded by its limited oral bioavailability, which stems from its chemical instability, poor aqueous solubility, and rapid degradation. This study aimed to develop granule formulations incorporating hyaluronic acid graft poly(N-isopropylacrylamide) or HA-g-pNIPAM to enhance dissolution and protect curcumin from degradation. Three formulations were developed: F10 (HA-g-pNIPAM physically mixed with curcumin), F10 Encap (curcumin encapsulated within HA-g-pNIPAM), and F11 (curcumin granules without HA-g-pNIPAM). The stability results showed that F10 Encap effectively maintained curcumin content throughout the …

The Effect Of Stilbene Derivatives On Modulation Of P-Gp Efflux Transporter, Shahnila Mukhtar

Chulalongkorn University Theses and Dissertations (Chula ETD)

Drug efflux by transporters of the ATP-binding cassette (ABC) family such as P-glycoprotein is the earliest and most well-studied multidrug resistant (MDR) mechanism. Overexpression of ATP-binding cassette transporters can decrease the effectiveness of chemotherapy by pumping anti-cancer drugs out of cancer cells. This study was to predict the best-fit of certain stilbenoids isolated from Thai orchids as a specific P-gp moderator, using the molecular docking approach to compare and specify the binding interaction between each stilbenoids and the P-gp binding domains. Furthermore, the in vitro substrate uptake assays of eight stilbenoids with phenanthrene core structure were conducted for assessing their …

Factors Contributing To Self-Medication And Quality Of Life Of Myanmar Immigrants In The Covid-19 Pandemic Situation, Su Myat Thin

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: Due to numerous difficulties in accessing necessary healthcare and standard medication, immigrants might be more likely to rely on self-medication to solve health problems they suffered. Although it might provide immediate relief, it could also bring some risks such as adverse drug reactions, antimicrobial resistance progression, drug side effects, and toxicity. This study aimed to identify the healthcare service accessibility and self-medication of immigrants in Thailand for COVID-19. Additionally, this study also aimed to evaluate the effect of immigrants’ COVID-19 perception on their self-medication uses and quality of life. This study had two phases in which the first phase …

The Effect Of Artogomezianone On Apoptosis Induction In Non-Small-Cell Lung Cancer, Worawich Somboonvoravong

Chulalongkorn University Theses and Dissertations (Chula ETD)

NSCLC severity is driven by dysregulation of the EGFR/PI3K/Akt pathway, promoting tumor growth and drug resistance. Hyperactive EGFR/PI3K/Akt signaling results in aggressive tumors and poor outcomes, further worsened by resistance to EGFR inhibitors. Targeting this pathway could inhibit tumor growth and resistance. artogomezianone, a compound derived from Artocarpus gomezianus, has shown considerable anti-cancer efficacy, mainly by inducing apoptosis and decreasing the proliferation of several cancers. This study investigated artogomezianone’s effects on the EGFR/PI3K/Akt pathway. Cytotoxic and apoptotic effects were assessed using MTT assay and Hoechst 33342/PI double staining, with confirmation by Western blot analysis. Protein levels and binding affinity were …

Effect Of An Mrna Vaccine On Liver-Associated Macrophages And The Immunogenicity Of Ag85b-Mrna Vaccine Against Tuberculosis, Chitsuda Pongma

Chulalongkorn University Theses and Dissertations (Chula ETD)

A new vaccine technology based on the delivery of mRNA has gained widespread acceptance due to the COVID-19 pandemic. The delivery of mRNA formulated with lipid nanoparticles (LNPs) elicits a robust immune response, activating both humoral and cell-mediated response. Depending on the LNP formula, mRNA encoding proteins can be detected in the liver upon intramuscular (IM) administration in mice. Thus, an mRNA vaccine present novel platform for new vaccines for infection diseases, including tuberculosis (TB). This study proposed two major goals to investigate the impact of an mRNA vaccine on innate immune cells in the liver and the use of …

Roles Of Reactants And Catalysts For Suzuki C-C Cross-Coupling Reaction Using Molecular Volcano Plots And Big-Data Analysis, Kwanchanok Kaewkwan

Chulalongkorn University Theses and Dissertations (Chula ETD)

The Suzuki carbon–carbon cross-coupling reaction is a well-known method for forming carbon–carbon bonds, catalyzed by transition metal complexes. Molecular volcano plots have been used to predict promising catalysts. While previous studies focused mainly on thermodynamic insight, with limited focus on kinetics, this work examines the influence of catalysts and reactants on catalytic activity by incorporating kinetic energy profiles. DFT calculations were performed to evaluate free energies of catalytic states, establish linear scaling relationships, and construct volcano plots. This study employed nickel and palladium complexes with five different ligands as catalysts, reacting with twenty-five substrates. Results show that catalysts have a …

Immune Signaling And Pathogenesis Of Enterocytozoon Hepatopenaei Infection In Pacific White Shrimp Litopenaeus Vannamei, Nutthapon Sangklai

Chulalongkorn University Theses and Dissertations (Chula ETD)

Enterocytozoon hepatopenaei (EHP) is an intracellular microsporidian parasite causing hepatopancreatic microsporidiosis (HPM), a disease that impairs the digestion and nutrients absorption of shrimp and leads to growth retardation and size variation. Our studies aim to comprehensively investigate the host’s immune responses to the EHP infection and the pathogenesis of the parasite. It was found that genes in Toll and JAK/STAT pathways, as well as antimicrobial peptides, were highly upregulated upon the EHP infection. Importantly, suppression of the JAK/STAT pathways resulted in a significant reduction of the c-type lysozyme (LvLyz-c) expression and the elevation of EHP copy numbers. These indicate a …

Development Of Biosensors For Detection Of Human Papillomavirus Type 16 Dna, Panon Tungkunaruk

Chulalongkorn University Theses and Dissertations (Chula ETD)

This dissertation aims to develop two unconventional methods for the detection of a high-risk, cancer-causing human papillomavirus type 16 (HPV16) on miniaturized platforms for point-of-care testing (POCT). The first part focuses on a direct detection of HPV16 double-stranded DNA (dsDNA) using the non-self-pairing pyrrolidinyl peptide nucleic acid (acpcPNA) pair on a paper-based substrate coupled with fluorescence and electrochemical dual detections using a DNA-binding dye in a single device. The acpcPNA pair can perform double duplex invasion into dsDNA by hybridizing with each strand of DNA in the same region without the requirement of denaturing dsDNA to single-stranded DNA (ssDNA) before …

Health Impact Assessment From Fine Particulate Matter Pm10 And Pm2.5 In Thailand, Phawichsak Prapassornpitaya

Chulalongkorn University Theses and Dissertations (Chula ETD)

The rapid urbanization and industrial sector have caused significant air quality problems. In particular, the concentration of fine particulate matter (PM10,PM2.5) is an assessment of the impact of fine particulate matter. Health The main objective of this study was to compare PM10 and PM2.5 levels and temporal trends from 2015 to 2019, and to develop a model to forecast particulate matter concentrations using multiple linear regression analysis. Multiple Linear Regression (MLR) to assess the association between particulate matter exposure and daily hospital visit for respiratory diseases. (ICD-10: J00-J99) and identify vulnerable populations. In the research, PM10 and PM2.5 air quality …

Molecular Dynamics Investigation Of Fluorine-Free Electrolytes For Sodium-Ion Batteries, Phitchapa Ausamanwet Zijdemans

Chulalongkorn University Theses and Dissertations (Chula ETD)

Sodium-ion batteries (SIBs) are a promising alternative to lithium-ion batteries due to the abundance and low cost of sodium. However, conventional SIB electrolytes often rely on fluorine-based salts, contributing to the formation of persistent and environmentally harmful per- and polyfluoroalkyl substances (PFAs). This study employs molecular dynamics (MD) simulations to investigates the properties of fluorine-free electrolytes for SIBs, focusing on the solvation structure and dynamics of sodium ions (Na+) in bulk electrolytes and at the inner solid electrolyte interphase (SEI) for SIBs. Sodium perchlorate (NaClO4) at a concentration of 1 M was examined in glyme solvents with varying chain lengths, …

Flow Accelerated Corrosion In Economizer Tubes Of A Heat Recovery Steam Generator Using Computational Fluid Dynamics, Phuris Khunphakdee

Chulalongkorn University Theses and Dissertations (Chula ETD)

This study investigates the effects of operating and harp design parameters on flow accelerated corrosion (FAC) using CFD, based on a real case from a modern heat recovery steam generator (HRSG) where severe FAC occurred in an economizer harp after six years of service. Preliminary investigation found that contributions for this case include the construction material, which is carbon steel, the operating temperature range that close to FAC favourable temperature (150 °C), reduced water and disturbed flow geometry. Comparison of shear stress and wall thickness profiles confirmed that FAC is mass transfer dominated, driven by flow acceleration and recirculation near …

Development Of Electrochemical Sensor Based On Molecularly Imprinted Polymer For Determination Of Roxarsone, Pitranan Kunthanasap

Chulalongkorn University Theses and Dissertations (Chula ETD)

Roxarsone (ROX), a growth enhancer in poultry and swine, has the potential to improve weight gain and prevent coccidiosis. Excessive use of ROX may lead to its accumulation in animal tissues, potentially contaminating food products and posing health risks to humans through consumption. This research aims to develop an electrochemical sensor based on a magnetic screen-printed graphene electrode (mSPGE) modified with a highly selective molecularly imprinted polymer (MIP) for the determination of ROX with enhanced sensitivity and selectivity. Typically, an applied magnetic field at the mSPGE could accelerate mass transport at the electrode surface through the magnetohydrodynamic (MHD) effect, leading …

Aza-Piancatelli And Friedel-Crafts Reactions Under Microdroplet Conditions, Phanomsak Yukhet

Chulalongkorn University Theses and Dissertations (Chula ETD)

The development of sustainable, catalyst-free synthetic methodologies represents a significant advance in modern organic chemistry, which offers environmentally benign alternatives to conventional protocols that often rely on metal catalysts or harsh reagents. This dissertation presents two complementary studies to explore and establish novel catalyst-free synthetic strategies in both microdroplet and bulk solution phases and highlight their potential applications, mechanistic features, and practical limitations. The first part of this work investigates the rearrangement of furfural with secondary amines to yield 4,5-diaminosubstituted cyclopentenones (4,5-DCPs) within the unique reaction environment of electrospray-generated charged microdroplets. The reaction is proposed to proceed via a Stenhouse …

2024 Cheshire County Ac Agenda & Minutes, Diane Dugray

Advisory Council

No abstract provided.

Water Resource Protection Principles And Strategies​, Julia Peterson

UNH Cooperative Extension

No abstract provided.

Pride And Prejudice Program

Theatre and Performance Studies Programs

Department of Theatre and Performance Studies

Pride and Prejudice

Adapted by Kate Hamill

Based on the novel by Jane Austen

Directed by Marlon Burnley